SWMOA Workshop Registration – American Canyon, CA – August 15, 2019 “UF & MBR Operator Training: Coming and Going - Membrane Treatment for the Drinking Water to Wastewater Reclamation Water Cycle” WorkshopCity of American Canyon City Hall Council ChambersThursday, Aug. 15, 2019 | 8:00 a.m. - 4:00 p.m. RegistrantSalutation*Mr.Mrs.Ms.Dr.First Name*Last Name*Job Title*Company*Address*City*State*Zip/Postal Code*Country*Phone*CellEmail*Enter registered attendee's email address WebsiteAttendee materials delivery email optionYes, I would like to have the materials sent to another email addressNo, I would like to have the materials sent to the email aboveAttendee materials will be sent approx. 2 weeks after event, provide an email address compatible to receive and/or access Hightail messages.Attendee materials email address If you prefer to an email other than listed above, provide the email address here. Special Needs Food Allergies (describe in comments) Gluten Free Meals Halal Meals Paleo Meals Vegan Meals Vegetarian Meals Wheelchair Access Other (describe in Comments) Billing Contact InformationEnter billing contact information, if applicableBilling Contact Name First Last Billing Contact EmailEnter billing contact's email address, if applicable Billing Contact Phone Please send copy of the invoice/receipt to Billing Contact Workshop RegistrationEarly Registration applies to registrations received and paid in full by July 30, 2019.Today - Date Date Format: MM slash DD slash YYYY Early Registration*SWMOA Members, $175.00Non-Members - Certified Ops (includes current year Div. 1B SWMOA Membership), $250.00If you are not a SWMOA Member, please Click Here to join, prior to registeringRegistration*SWMOA Members, $225.00Non-Members - Certified Ops (includes current year Div. 1B SWMOA Membership), $300.00If you are not a SWMOA Member, please Click Here to join, prior to registering Contact Hours*Yes, need contact hours certificationNo contact hours requiredIncluded in registration feeLicense #*License State*License Type*License Grade* Total Registration Fee $0.00 Payment InformationPayment Method*Credit Card - Online PaymenteCheck (Bank Wire w/o processing fee) - Online PaymentCheckInvoiceIf paying by check: Make checks payable to: Southwest Membrane Operator Association (SWMOA) and mail to: 1035 East Vista Way #103, Vista, CA 92084. CommentsComments or Instructions Written cancellation requests received on or before July 30, 2019 will receive a refund, less a $50 processing fee. Full payment is required if cancellation is received on or after July 31, 2019 - no refunds and no credits for future events will be granted. However, substitutions may be made at any time. SWMOA reserves the right to make changes in programs and speakers, or to cancel programs when conditions beyond its control prevail. Every effort will be made to contact each enrollee if a program is cancelled. If a program is not held, SWMOA’s liability is limited to the refund of the program fee only. Final Step of Application ProcessCAPTCHAPlease enter the letters displayed above to complete your application and then click Submit.Please refer to SWMOA’s Privacy Policy if you have any questions regarding your preferences.PhoneThis field is for validation purposes and should be left unchanged.